Efficacy of Different Surgical Methods in the Treatment of Pediatric Urolithiasis: Retrograde Intrarenal Surgery, Extracorporeal Shock Wave Lithotripsy, and Open/Laparoscopic Surgery Approaches Pediatrik Ürolitiyazis Tedavisinde Farklı Cerrahi Yöntemlerin Etkinliği: Retrograd İntrarenal Cerrahi, Ekstrakorporeal Şok Dalga Litotripsi ve Açık/Laparoskopik Cerrahi Yaklaşımları
Genel Tip Dergisi, cilt.34, sa.6, ss.832-838, 2024 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 6
- Basım Tarihi: 2024
- Doi Numarası: 10.54005/geneltip.1529192
- Dergi Adı: Genel Tip Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.832-838
- Anahtar Kelimeler: Endoscopic shock wave lithotripsy, Laparoscopy, Pediatric urinary tract calculi, Retrograde intrarenal surgery
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Eskişehir Osmangazi Üniversitesi Adresli: Evet
Özet
Background/Aims: To evaluate in which cases Retrograde Intrarenal Surgery (RIRS) should be combined with other techniques in pediatric patients undergoing retrograde intraluminal endoscopic surgery, RIRS combined with extracorporeal shock wave lithotripsy, and RIRS combined with open/laparoscopic surgery for urolithiasis in our clinic. Materials and Methods: This study conducted a retrospective analysis of data from 302 pediatric patients undergoing RIRS, this technique in conjunction with extracorporeal shock wave lithotripsy (ESWL), open stone surgery, and laparoscopic stone surgery for urolithiasis at our clinic from January 2013 to October 2020. The patient’s demographic data, the position, and size of the stones discovered using imaging techniques, surgical interventions for stone extraction, stone-free results, and the condition of postoperative hydronephrosis were evaluated. Results: A total of 302 pediatric patients were included in this study. The mean age was 89.719 months (SD 51.447, range 6–216). 160 patients (53%) were male, whereas 142 patients (47%) were female. The mean size of the treated stones was 7.964 mm (SD 3.516, range 2.2-25 mm). Stone-free rate was achieved in 262 (86.75%) of the patients during surgical follow-up. Imaging indicated the absence of stones in 235 participants (77.81%). In the follow-up, it was shown that hydronephrosis completely resolved in 278 (92.05%) patients. Conclusion: Choosing minimally invasive surgical procedures is advisable, particularly for pediatric patients. It is essential to acknowledge that open or laparoscopic surgery, particularly laparoscopy, is significant in certain instances, depending upon the surgeon’s expertise.